First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
Email*
Home Phone
Work Phone x
Cell Phone
Alt Email
Text/Pager Email
Name of the cat or cats you are interested in:*
How long have you lived at the above address?*
Do you own or rent your home* Choose one: Rent Own
In what type of home do you live* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
If you rent, please enter your landlord's name and phone number*
If you rent, have you received the approval of your landlord to have an animal Choose one: Yes No
Are you over 18?* Choose one: Yes No
Do you live with your parents?
Please list names and ages of all people in household*
Please tell us who you are adopting for? List if for yourself, a gift, etc.:*
Why are you interested in adopting a pet at this time*
Do all members of the household know about and agree with the adoption of a cat?
Does any member of the household have any allergies? If yes, please describe allergy and treatment*
Who in the household will care for the pet?*
. How many pets have you owned in the past 5 years - Cats or Dogs, describe please: *
How many of these pets do you still have? Please give detailed answer: Deceased, Given up - why?*
How much time will the animal spend alone during the day*
Will the new cat be kept inside or allowed to go outside?* Choose one: Inside Only Outside Only Inside and Outside
Have you previously had experience with a non de clawed cat ?
If yes, what items or training did you use to eliminate the scratching of furniture etc.?
Do you need a declawed cat?
Do you agree to have annual checkups, all vaccinations, routine preventative care, and emergency care administered by a licensed veterinarian? (If No, please explain)*
Are you aware that shots/routine care can cost $150-$300 per year?
Describe previous experience with Siamese: (If none state none)*
Why do you want to rescue a Siamese/Siamese Mix as opposed to getting one from a breeder?*
Are you prepared to deal with the emotional and/or physical “baggage” that many rescued cats have?
If no, what emotional or physical problems would you not be willing to work with? *
Are you willing to commit to continuing any special requirements of your new cat, such as special diet, additional litter pans, medications, grooming, etc.?
If no, please explain what special requirements you would prefer to avoid? *
If you have a pet now, have you ever introduced it to a new cat?
If yes, how did your current animal react? *
What times would be convenient to have a representative from Purrs Abound Siamese Rescue visit your home after adoption to assure the cats well-being? *
Have you ever adopted an animal from a rescue league, humane society or animal shelter before? If so what rescue and where is animal now?*
Where will the animal be kept when you are not home*
Where will the animal sleep*
Have you ever given up a pet? If yes, please explain*
What is your work schedule? (Days/Hours per week)*
Please provide 2 references with email address and phone number(not family members ) *
Veterinarian's Name and Phone Number*
I certify that the information entered on this applicant is true. Enter your name and date*
How did you hear about us*
If no specific cat, list age, sex, point desired:
Do you have any interest in becoming a foster? *
